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HomeMy Public PortalAbout9527 FLAHERTY ST_Building__ ©s 76A638AAf� CE#803(REV.6/78)• APPLICATION FOR' BUILDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY BUILNG FOR APPLICANT TO FILL IN ADDRESS ADDRESS LDING F,AUDyIDRESSS gZ7 FL.A14XP,TV 5T. LOCALITYNEAREST �IIEMP E G T ZIP l CROSS ST. NO.OF BLDGS. ASSESSOR SIZE OF LOT S4 X 1�3a NOW ON LOT MAP BOOK PAGE. I PARCEL DISTRICT GROI P� TYPE FIRE ROCE BY TRACT/ �1 9 BLOCK •LOT NOPE C7 n ( CONST1Y 4 / E -'TEL, OWNER G` E3115tA4-mice.— 'NO. STATISTICAL CLASSIFICATION ER P ADDRESS'Rsmrl �L.A E CLASS NO, DWELL.UNITS_Lj -. PG CITY—rtff^$;4_W e,-j-rqZIP A II'?e3p I , ARCHITECT OR TEL VALUATION $ �� J ENGINEER NO. ADDRESS BLDG,SETBACK FROM TEL FRONT PROP.LINE OF (STREET) CONTRALTO a N CO1.31M.1\16.28170 HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING //�� LIC. FRONT PROP.LINE HIGHWAY WIDTH ADDRESS` ,TA � c4ARiF,A�..DINO. Q LIC. + _ CITY-MVAV-1 .E e.t'1"y CLASS 06- BLDG.SETBACK FROM CONSTRUCTION LENDER NAME AND BRANCH SIDE PROP.LINE OF (STREET) HIGHWAY + YARD = TOTAL SETBACK FROM TYPE OF EXISTING ADDRESS CITY SIDE PROP.LINE HIGHWAY WIDTH SO.FT. M� NO OF NO OF CHECK + = L8 SIZE rT oc> I STORIES FAMILIES ONE ®C ' S— DESCRIPTION OF WORK � nw NEVA P.C. Fee$ Permit Fee ADD C3 V, �p ❑ Issuance Fee ALTER z REPAIR ❑ Total Fee {� USE OF .• EXISTINGBLDG. �iTA► DEMOL ❑ Z APPLICANT TEL n 2 (PRINT)LALp—F-y P'A1y1JE O. D BY(SIG Ap Q I HE OWLED E I HAVE READ THIS ICA N AND STATE Y THAT THE ABOVE IS CORN AN AGREE TO COMPLY ITH ALL ORDINANCES uVi AND LAWS REGULATING BUIL IN CONSTRUCTION.I CE FY THAT IN DOING THE Z WORK AUTHORIZED HEREBY I L NOT EMPLOY ANY PERSON IN VIOLATION OF u THE LABOR CODE OF THE STATE OF CALIFORNIA I WORKMEN'S COM Z PENSATION INSURANCE g 25 2 0.0 A d ' SIGNATU 1#'o o'o'o!o' PERM) � 3'. ogsmggT 210-12200; ADDR Z TEL. o o,o 22.000 CITY --NO.,9 USE ZO E MAP G o!6 2'8-7 9 i NO. X003 IAL CDITIOONS 1/ X FINAL U �•�1 ) BLaGbD `�1 U e v W y��/ DATE o � DEPARTMENT OF BUILDING AND SAFETY APPLICATION FOR PERMIT COUNTY OF LOS ANGELES .1 m G WM. J. FOX. CHIEF ENGINEER FOR APPLICANT TO FILL IN FOR OFFICE USE ONLY DISTRICT NO. PLAN CK.NO. PERMIT NO. BUILDING C ADDRESS � FlahertySt. '} '7Q 7 �L SG LOCALITY . CRECEIVED BY 7DATE OFA.PPPL. DATEISSUED OEA EST. Cloverly Ave. , Temple City ^,Z°;Q �� �-- S UILDfNG OWNER Meeker Land Company ADDRESS 75 2- (!57. GAG Z' ADREBB 11236 E. Live Oak Ave. LOCALITY G NEAREST i CITY Arcadia TEL. DO-72151 CROSS ST. 0. F ARCHITECT T p TEL. / ZONE PLANS TYPE GROUP�" ENGINEER 17eo.A.Bissell NO. FL-7r.�)+20 _�'•E•• BLDG. NO. ADDRESS SETBACK LINE i APPROVED TEL. BY DATE CONTRACTOR NO. USE APPROVED ADDRESS ZONE BY DATE LEGAL CORRECTIONS DESCRIPTION LOT NO. 26 BLOCK - TRACT 1717 SIZE OF LOT 54x132 I NO.OF BLDGS.none NOW ON LOT USE OF NO.OF NO.OF 6 �y /� e lL., EXISTING BLDG, none FAMILIES ROOMS J"Z(�'j( / �ly�. ('} (/1�(i[.( >v�'F.J--6-1 - EXISTING OF WORK NEW x ALTERATION ADDITION O A REPAIR r� MOVING DEMOLISH SIZE T. 118! RO MS 6 STORIES No OF1 D WALL ROOF COVERING Plaster I COVERING W.Shgles. r USE OF NEW BUILDING Residence Plan 5-A Garage 13x20 R I HEREBY ACKNOWLEDGE THAT 1 HAVE READ THIS APPROVALS APPLICATION AND STATE THAT THE ABOVE IS CORRECT FOUNDATION: LOCATION INSPECTOR DATE i 'AND AGREE TO COMPLY WITH ALL COUNTY ORDINANCES FORMS,MATERIALS 1M ° " �' ,� AND STATE LAWS REGULATING BUILDING CONSTRUCTION. a Baa" cam//�g FIE SIGNATURE OF TT n-�T FRAME:BRACING,BOLTS STOPS, (WNI- (� �, PERMITTE ER LA lY - t11�Y y LATH, INT. A'1 AUTHOR[ - ° LATH, EXT. 76A638A-3 7-49 s y'(�f�.-�" P C \� PLASTER, INT. (/70 O FEE PLASTER,EXT. VALUATIONFEE 3��-' FINALS - - ' 930191 BG APPUCATDN FOR BULDING PERMIT COUNTY OF LOS ANGELES BUILDING AND SAFETY WORKER'S COMPENSATION DECLARATION FOR APPLICANT TO FILL IN BUILDIN AD RES I hereby affirm that I have a certificate of consent to self insure, BUILDING ADDRESS c-Yl or a certificate of Workers' Compensation Insurance, or a certified 9527 Flaherty copy thereof(Sec.3800,Lab.C.) CITY TTemple City ZIP 91780 LOCALITY Policy NoPWC242191-00 companyG01 den Fagl_p SIZE OF LOT NO,OF BLDGS.NOW ON LOT ❑ Certified Copy is hereby furnished. NEAREST CROSS ST. Certified copy is filed with the county building inspection TRACT BLOCK LOT NO. department. i USE ZONE MAP NO. Date? 1 94 Applicant Virgin Roof CO. ASSESSOR MAP BOOK PAGE PARCEL SPECIAL CONDITIONS CERTIFICATE OF EXEMPTION FROM WORKERS' OWNER TEL NO. COMPENSATION INSURANCE Mrs. Bouttier 286-2441 WITHIN 1000 FT OF SCHOOL? Yes No (This section need not be completed if the permit is for one hundred ADDRESS dollars($100)or less.) 9527 Flaherty DISTRICT GROUP T ONST. FIRE ZONE PROCESSED BY CITY p y ZIP �G�� I certify that in the performance of the work for which this permit Temple City, CA 91780 bissued, I Shall not employ any person in any manner so as to ARCHITECT OR ENGINEER TEL NO. become subject to the Workers'Compensation Laws. STATISTICAL CLASSIFICATION APT CONDO Date Applicant ADDRESS CLASS NO. �1 DWELL UNITS NOTICE TO APPLICANT.' If, after making this Certificate of REQUIRED TOTAL SETBACK FROM EXIST Exemption, you should become subject to the Workers' CONTRACTOR TEL NO, SET BACK YARD HWY PROP LINE WIDTH Compensation provisions of the Labor Code, you must forthwith Virgin Roof Co. 287-0507 FRONT comply with such provisions or this permit shall be deemed revoked. ADDRESS LIC.NO. P L PO Box 5010 160650 SIDE LICENSED CONTRACTORS DECLARATION CITY LIC. L SS P L I hereby affirm that I am licensed underprovisions of Chapter s San Gabriel 91778-5010 C39 SEWER MAP (commencing with Section 7000)of Division 3 of the Business and SO.FT.SIZE - NO.OF STORIES NO.OF FAMILIES Professions Code,and my license is in full force and effect. 400 1 NEW BK PG a License Number 160650 Lic. CIBSS C39 DESCRIPTION OF WORK ADD ❑ VALUATION ? ' Virgin Roof C 6/30/95 Over existing apply Class A ALTER ❑ $ 2830.00 O Contractor g date Composition Shingles. 24 sqs. REPAIR ❑ cc i O ❑ I am exempt under Sea $ ' ' V BAP.C.for this reason DEMOL ❑ LDMA P/C# l+ s8 W Date: USE OF XISTING BLDG. URM ❑ a Dwel in g -)-1 i3 isun _ U) Signature APPLICANT(PRINT) TEL NO. LDMA Perm# '- - T'i't.i H'"• z ❑ I, as owner of the property, or my employees with wages as Virgin Roof Co. 818 287-05.0 z _ -1 their sole compensation, will do the work and the structure is ADDRESS O TO i AL. 1 1,E--`P' = 65 . not intended or offered for sale (Section 7044, Business and PO Box 5010, San Gabriel, CA 91778-5010 FINAL DATE Professions Code.) CHECK WILL THE APPLICANT OR FUTURE BUILDING OCCUPANT HANDLE A HAZARDOUS MATERIAL OR A MIXTURE CONTAINING A HAZARDOUS MATERIAL EQUAL TO OR GREATER THAN THE / J CHANGE e j ❑ I, as owner of the property, am exclusively contracting with AMOUNTS SPECIFIED ON THE HAZARDOUS MATERIALS INFORMATION GUIDE? FINAL BY FEANGE licensed contractors to construct the project (Section 7044, YES❑ No Business and Professions Code.) WILL THE INTENDED USE OF THE BUIDLING BY THE APPLICANT OR FUTURE BUILDING ``` '}{`i'• !j F OCCUPANT REQUIRE A PERMIT FOR CONSTRUCTION OR MODIFICATION FROM THE SOUTH CONSTRUCTION LENDING AGENCY COAST AIR QUALITY MANAGEMENT DISTRICT(SCAQMD)SEE PERMITTING CHECKLIST FOR —' s e "5 GUIDELINES. - ^�Lt.`r 1 Ar I hereby affirm that there is a construction lending agency for YES❑ NO a the performance of the work for which this permit is issued(Sec. -' rn' I HAVE READ THE HAZARDOUS MATERIALS INFORMATION GUIDE AND THE SCAQMD PERMITTING 3097, CIV.C.) CHECKLIST.I UNDERSTAND MY REQUIREMENTS UNDER THE LOS ANGELES COUNTY CODE, TITLE 2,CHAPTER QQQQQQ 20 SECTIO 2.20. 00 THROUGH 2.20.140 CONCERNING HAZARDOUS CL Lender's Name MATERIALS REP�TIING AND O TpI IN MIT FROM THE SCAQMD. o Lender's Address // LL O OWNER OR AGENT o I certify that I have read this application and state under penalty 0 of perjury that the above information is correct. I agree to comply P.C.FEE PERMIT FEE o with all county ordinances and State laws relating to building $92.25 < constr Ction, and hereby authorize representatives of this County - ISSUANCE FEE to en upon the above ment pro ertyP inspection purposes. 26.40 Jkf� �� - 8/31/93 INVESTIGATION FEE TOTAL FEE $118.65 ^ sg� ai pylic r Apem Date SEE REVERSE FOR EXPLANATORY LANGUAGE